IMPORTANT SAFETY INFORMATION—UCERIS extended release tablets
- UCERIS extended release tablets are contraindicated in patients with hypersensitivity to budesonide or any of the
ingredients of UCERIS tablets. Anaphylactic reactions have occurred with other budesonide formulations
- When glucocorticosteroids are used chronically, systemic effects such as hypercorticism and adrenal suppression
may occur. Since UCERIS tablets are a glucocorticosteroid, general warnings concerning glucocorticoids should be
followed
- Care is needed in patients who are transferred from glucocorticosteroid treatment with higher systemic effects to
glucocorticosteroids with lower systemic effects, such as UCERIS tablets, since symptoms attributed to withdrawal of
steroid therapy, including those of acute adrenal suppression or benign intracranial hypertension, may develop.
Adrenocortical function monitoring may be required in these patients. Taper patients slowly from systemic
corticosteroids if transferring to UCERIS tablets
- Patients who are on drugs that suppress the immune system are more susceptible to infection than healthy
individuals. Glucocorticosteroids should be used with caution, if at all, in patients with active or quiescent
tuberculosis infection, untreated fungal, bacterial, systemic viral or parasitic infections, or ocular herpes simplex.
More serious or even fatal courses of chickenpox or measles can occur in susceptible patients
- Caution should be taken in patients with hypertension, diabetes mellitus, osteoporosis, peptic ulcer, glaucoma or
cataracts, or with a family history of diabetes or glaucoma, or with any other condition where glucocorticosteroids
may have unwanted effects
- In clinical studies, the most common adverse reactions of UCERIS tablets (occurring in ≥2% of UCERIS patients and at
a higher incidence than placebo) were headache (11%), nausea (5%), decreased blood cortisol (4%), upper
abdominal pain (4%), fatigue (3%), flatulence (2%), abdominal distension (2%), acne (2%), urinary tract infection
(2%), arthralgia (2%), and constipation (2%)
- Concomitant use of inhibitors of Cytochrome P450 3A4 (such as ketoconazole, itraconazole, ritonavir, indinavir,
saquinavir, and erythromycin) should be avoided. Advise patients to also avoid ingestion of grapefruit and grapefruit
juice, which are known to inhibit CYP3A4, when taking UCERIS tablets
- Since the dissolution of the coating of UCERIS tablets is pH dependent, the release properties and uptake of the
compound may be altered when UCERIS tablets are used after treatment with gastric acid-reducing agents (eg, PPIs,
H2-blockers, and antacids)
- There are no adequate and well-controlled studies in pregnant women. Budesonide should be used during
pregnancy only if the potential benefit justifies the potential risk to the fetus. Budesonide is secreted in human milk.
A decision should be made whether to discontinue nursing or to discontinue UCERIS tablets, taking into account the
clinical importance of UCERIS tablets to the mother
- Patients with moderate to severe liver disease should be monitored for increased signs and/or symptoms of
hypercorticism. Discontinuing the use of UCERIS tablets should be considered in these patients
To report SUSPECTED ADVERSE REACTIONS, contact Salix Pharmaceuticals at 1-800-321-4576 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
Please click here for full Prescribing Information for UCERIS extended release tablets.
Salix Product Information Call Center
Phone: 1-800-321-4576
Email: salixmc@dlss.com